Individual
JAMES CHESTER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222797
DEPT OF LABOR & INDUSTRY
WA
05
—
2033561
—
WA
01
—
P00425941
RAILROAD MEDICARE
WA
Enumeration date
09/17/2006
Last updated
08/15/2025
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